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1891740007
KEVIN JAN BAILEY
MODESTO, CA
NPI
1891740007
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA14407)
Enumeration Date
2006-05-24
Last Update Date
2021-11-22
Business Address
-- KEVIN JAN BAILEY P.A-C
1441 FLORIDA AVE
MODESTO, CA 95350-4404
Phone number: 209-576-3609
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Mailing Address
-- KEVIN JAN BAILEY P.A-C
2100 POWELL ST SUITE 900
EMERYVILLE, CA 94608-1826
Phone number: 510-350-2600
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